<div style="display:block;background-color:#FFF">			
	<a href="#mainpage" data-role="button" data-inline="true" data-icon="back">Back</a>
	<a href="#mainpage" rel="external" data-role="button" data-inline="true" data-theme="b" data-icon="check">Submit</a>
				
		
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			<label><input type="checkbox" name="Option1"/> Newborn 1 </option></label>
			<label><input type="checkbox" name="Option2"/> Newborn 2 </option></label>
			<label><input type="checkbox" name="Option3"/> Newborn 3 </option></label>
			<label><input type="checkbox" name="Option4"/> Newborn 4 </option></label>
			
	<a href="#mainpage" data-role="button" data-inline="true" data-icon="back">Back</a>
	<a href="#mainpage" rel="external" data-role="button" data-inline="true" data-theme="b" data-icon="check">Submit</a>
				
			
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